Long-standing and progressive destruction of pancreatic tissue due to persistent inflammation
Results in exocrine and/or endocrine insufficiency
Major features
Pain
Malabsorption
Diabet...
Epigastric pain, often radiating to the back
Flare-ups may mimic ac...
Tramadol 50 mg q6h PO is commonly used as a first line.
Chronic opioid (morphine, fentanyl) therapy may be required in...
Small meals high in protein, ~20 g/day of fat; adjust for diabetes; patients with dec...
Conwell DL, Lee LS, Yadav D, et al. American Pancreatic Association practice guidelines in chronic pancreatitis: evidence-based report on diagnostic guidelines. Pancreas. 2014...
235494005 Chronic pancreatitis (disorder)
235952002 Alcohol-induced chronic p...
EUS can help differentiate chronic pancreatitis from pancreatic cancer.
Pain management is a central component in managing chronic pancreatitis.
Pancreatic enzyme replacement therapy alo...
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FIG. 2.34. Choledocholithiasis. Coronal thick slab MRCP demonstrates distal common bile duct stone (<italic>arrow</bold>).
FIG. 3.151. Choledocholithiasis. Small stone is present in distal common bile duct (<italic>arrow</bold>) on axial HASTE image.
FIG. 3.151. Choledocholithiasis. Small stone is present in distal common bile duct (<italic>arrow</bold>) on axial HASTE image...
<bold><italic>Figure 15-14</bold> Perforated peptic ulcer of stomach.</bold>
Gastric ulcer. The stomach has been opened to reveal a sharply demarcated, deep peptic ulcer on the lesser curvature.
Duodenal ulcer. A sharply punched-out peptic ulcer of the duodenum is situated immediately below the pylorus.
<bold>Fig GI 10-10 Peptic ulcer disease.</bold> (A) Large incisura (black arrow) simulating a filling defect on the greater curvature. The incisura is incited by a long ulcer (white arrows) on the lesser curvature. (B) Double pylorus. The true pylorus and the accessory channel along the lesser curvature are separated by a bridge, or septum, that produces the appearance of a discrete lucent filling defect (arrow).
<bold>Fig GI 10-10 Peptic ulcer disease.</bold> (A) Large incisura (black arrow) simulating a filling defect on the greater cu...
<bold>Fig GI 12-5 Acute pancreatitis.</bold> (A) Complete gastric outlet obstruction. (B) As the acute inflammatory process subsides, some barium passes through the severely spastic and narrowed second portion of the duodenum (arrows).
<bold>Fig GI 12-5 Acute pancreatitis.</bold> (A) Complete gastric outlet obstruction. (B) As the acute inflammatory process su...
<bold>FIG. 107.2.</bold> An anteroposterior view of the hips in a 23-year-olf female patient with osteonecrosis of both femoral heads <italic>(arrows)</bold>, associated with systemic lupus erythematosus.
<bold>FIG. 107.2.</bold> An anteroposterior view of the hips in a 23-year-olf female patient with osteonecrosis of both femoral...
<bold>FIG. 107.5.</bold> An anteroposterior view of the knee in a 23-year-old female patient with osteonecrosis of the femoral condyle <italic>(arrow)</bold> associated with systemic lupus erythematosus.
<bold>FIG. 107.5.</bold> An anteroposterior view of the knee in a 23-year-old female patient with osteonecrosis of the femoral ...